Nataly Gonzales, PA
Physician Assistant · Fresno, CANPI 1104446640
Payments from drug & device makers
Across 30 payments — averaging $109.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Polynovo North America LLC$250
- Stryker$199
- Urgo Medical North America, LLC$164
- Access Pro Medical, LLC$100
- Medtronic$52
- plus $113 from 3 others
What the payments were for
- Travel & lodging$2,09064%
- Food & beverage$1,19836%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Smith+Nephew | 9 | $2,410 |
| Polynovo North America LLC | 2 | $250 |
| Stryker | 8 | $199 |
| Urgo Medical North America, LLC | 2 | $164 |
| Access Pro Medical, LLC | 1 | $100 |
| Medtronic | 2 | $52 |
| Avita Medical Americas, LLC | 3 | $50 |
| KCI USA, Inc. | 2 | $41 |
| Vericel Corporation | 1 | $21 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- PICO$1,253
- COLLAGENASE SANTYL$1,101
- Novosorb BTM$250
- VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP$147
- Matriderm$100
How this compares
$3,287 in reported general payments places this provider in the 85th percentile of 10,423 physician assistant providers in California.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other physician assistant in Fresno
- Brooke KutkaFresno$67K
- David BakerFresno$37K
- John QuigleyDowney$2.9M
- Andrea NguyenIrvine$1M
- Mikhail AlperMadera$889K
- Erin JensenUpland$716K
- Franklin ClineSacramento$458K
- Carla CrespoMarina del Rey$297K
- Katherine OsakiEl Centro$274K
- Shawna JonesFountain Valley$266K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.